This article traces the dramatic changes in the role of the health care executive during the twentieth century. The eras of emphasis on public health, technology and increased access to care, and cost containment and organizational change are examined and discussed in terms of their impact on the field. The performance of the profession is evaluated and current problems and challenges for the future are detailed.
Address correspondence and requests for reprints to Stuart A. Wesbury, Jr., Ph.D., President, American College of Healthcare Executives, 840 N. Lake Shore Drive, Chicago, IL 60611.
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